Drugs available on Contract - [DEXTROSE (2B0064X) 5% (BAX) (B)], []

Contract Number	41
Brand Code	20542
Brand Name	DEXTROSE (2B0064X) 5% (BAX) (B)
Active Ingredient	DEXTROSE
Trade Name	DEXTROSE (2B0064X)
Package Size	1 LITRE
Formulary Category	B
Pkg Price	5.76
Unit Price	5.7628
Strength	5%
Unit Description	BAG
Max. Reimbursable Quantity / Month	100
Package Description	BOX
Manufacturer Code	BAX
Manufacturer Name	BAXTER EXPORT CORP.
Agent Code	STO
Agent Name	BRYDEN STOKES LTD
Benefit
Benefit Cat Code
Drug Contract Start Date	2024-04-01
Drug Contract End Date	2026-03-31
Restrict To Ophthalmologist
Restrict To Pulmonologist
SIGCode
SIGFactor	0
Dentist Allowed	N
Therapeutic Code	4020
Therapeutic Desc	CALORIC AGENTS
Status Description
Default Route	IV
Max Repeats	0
Therapeutic Head	CALORIC AGENTS
Amend Date